Colon polyps diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Colonoscopy and flexible sigmoidoscopy are diagnostic studies of choice to diagnose colon polyps.

Diagnostic Study of Choice

There are two gold standard tests for the diagnosis of colon polyps include:^[1]^[2]^[3]^[4]
- Colonoscopy
  - Sensitivity of colonoscopy to detect polyps is 85-90%.
  - False negative rate for colonoscopy not to detect polyps of all sizes is 22%. However, false negative rate would be lower if the adenoma is larger.
- Flexible sigmoidoscopy

References

↑ Arnesen, R. B.; Ginnerup-Pedersen, B.; Poulsen, P. B.; von Benzon, E.; Adamsen, S.; Laurberg, S.; Hart-Hansen, O. (2016). “Cost-effectiveness of computed tomographic colonography: a prospective comparison with colonoscopy”. Acta Radiologica. 48 (3): 259–266. doi:10.1080/02841850601182139. ISSN 0284-1851.
↑ O’Brien, Michael J. (2007). “Hyperplastic and Serrated Polyps of the Colorectum”. Gastroenterology Clinics of North America. 36 (4): 947–968. doi:10.1016/j.gtc.2007.08.007. ISSN 0889-8553.
↑ Moreno, Courtney C.; Mittal, Pardeep K.; Henson, Nicholas L.; Baumgarten, Deborah A.; Alexander, Lauren F.; Hanes, Timothy S.; Small, William C.; Kitajima, Hiroumi D.; Kang, Jian; Votaw, John R.; Oshinski, John N.; Dixon, W. Thomas (2014). “Optimal section thickness for detection of polyps at MR: resolution phantom study”. Abdominal Imaging. 40 (6): 1451–1456. doi:10.1007/s00261-014-0331-6. ISSN 0942-8925.
↑ Shussman, N.; Wexner, S. D. (2014). “Colorectal polyps and polyposis syndromes”. Gastroenterology Report. 2 (1): 1–15. doi:10.1093/gastro/got041. ISSN 2052-0034.

Overview